| NPI | 1649770603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA GAIL BEACH Owner/Adminiistrator 828-464-3430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC FCL-018-038) |
| Enumeration Date | 2018-02-16 |
| Last Update Date | 2018-02-16 |